| Doctor Name: | NOVYCE V FERGUSON |
| NPI Number: | 1548608185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 0098766 |
| Business Practice Address: | 216 S Main St Lindsay, OK - 730525634 |
| Business Phone Number: | 4057561414 |
| Business Fax Number: | 4057561162 |
| Mailing Address: | Po Box 126, LINDSAY |
| State: | OK |
| Postal Code: | 730520126 |
| Phone Number: | 4057561414 |
| Fax Number: | 4057561162 |
| NPI Enumeration Date: | 06/05/2013 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0098766 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |